| NPI | 1699900399 |
|---|---|
| Former Name | CHARLOTTE L. COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3844) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 3844) |
| 122300000X Dentist (Licence: GA 012182) | |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2020-12-28 |